JP7420931B2 - Assistive device - Google Patents

Assistive device Download PDF

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JP7420931B2
JP7420931B2 JP2022523799A JP2022523799A JP7420931B2 JP 7420931 B2 JP7420931 B2 JP 7420931B2 JP 2022523799 A JP2022523799 A JP 2022523799A JP 2022523799 A JP2022523799 A JP 2022523799A JP 7420931 B2 JP7420931 B2 JP 7420931B2
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armpit
pair
person
assisted
restriction
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聡志 清水
有城 神谷
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G5/00Chairs or personal conveyances specially adapted for patients or disabled persons, e.g. wheelchairs
    • A61G5/10Parts, details or accessories
    • A61G5/14Standing-up or sitting-down aids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/104Devices carried or supported by
    • A61G7/1046Mobile bases, e.g. having wheels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1049Attachment, suspending or supporting means for patients

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  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Invalid Beds And Related Equipment (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Rehabilitation Tools (AREA)

Description

本明細書は、被介助者の脇を支持する脇支持部を備えた介助装置に関する。 The present specification relates to an assistance device that includes an armpit support section that supports the armpits of a person being assisted.

高齢化社会の進展に伴い、介助装置のニーズが増大している。介助装置は、一般的に、被介助者の身体の一部を支持した支持部材を駆動して、被介助者の各種の動作を介助する。被介助者の起立動作や着座動作を介助する介助装置は、被介助者の左右の脇をそれぞれ支持する一対の脇支持部や、被介助者の上体を支持する上体支持部を備えることが多い。介助装置の導入によって、介助者および被介助者の身体的な負担が軽減されるとともに、介助者の人手不足も緩和される。この種の介助装置の一技術例が特許文献1に開示されている。 With the advancement of an aging society, the need for assistive devices is increasing. An assistance device generally assists the person being helped with various movements by driving a support member that supports a part of the person's body. An assistance device that assists a person being assisted in standing up or sitting down must include a pair of armpit support sections that support the left and right sides of the person being assisted, and a body support section that supports the upper body of the person being assisted. There are many. The introduction of the assistance device reduces the physical burden on the caregiver and the person being assisted, and also alleviates the shortage of caregivers. A technical example of this type of assistance device is disclosed in Patent Document 1.

特許文献1の介助装置は、基台と、被介助者の左右の脇を支持しつつ基台に対する相対的な移動が可能な脇支持部と、脇支持部を駆動する駆動部と、を備える。そして、脇支持部は、芯部材と、芯部材に対して回転可能に設けられ被介助者の胴体に接触する外周部材と、を有する。これによれば、外周部材は、被介助者の姿勢変化に追従しながら芯部材に対して回転することができる。したがって、被介助者と脇支持部の間に発生する摩擦力は、緩衝されて抑制され、被介助者の快適な使い心地が実現される。 The assistance device of Patent Document 1 includes a base, an armpit support section that supports the left and right armpits of a care recipient and is movable relative to the base, and a drive section that drives the armpit support section. . The armpit support portion includes a core member and an outer peripheral member that is rotatably provided with respect to the core member and contacts the torso of the person being cared for. According to this, the outer peripheral member can rotate relative to the core member while following changes in the posture of the person being assisted. Therefore, the frictional force generated between the person to be assisted and the armpit support portion is damped and suppressed, and a comfortable feeling of use for the person to be assisted is realized.

国際公開第2018/179294号International Publication No. 2018/179294

ところで、特許文献1の介助装置は、芯部材に対して外周部材が回転することにより、被介助者の側腹部に摩擦力で生じる痛みを軽減できる点で好ましい。しかしながら、外周部材が無限に回転する構成であると、脇支持部が被介助者を抱え上げる力が逃げてしまい、本来の役割を果たせなくなる。このため、外周部材の回転量は制限されており、その結果、摩擦力により生じる痛みの軽減には限界があった。また、脇支持部は、被介助者の体重の半分以上に相当する荷重を支持する場合がある。この場合、被介助者は、脇支持部が両脇を押し上げる強い圧迫感により痛みを感じることがあった。 Incidentally, the assistance device of Patent Document 1 is preferable in that the outer circumferential member rotates with respect to the core member, thereby reducing pain caused by frictional force on the flank of the person to be assisted. However, if the outer circumferential member is configured to rotate infinitely, the force of the armpit support section to hold the person being assisted escapes, and the armpit support section cannot fulfill its original role. For this reason, the amount of rotation of the outer peripheral member is limited, and as a result, there is a limit to the reduction of pain caused by frictional force. Further, the armpit support portion may support a load equivalent to half or more of the body weight of the person being assisted. In this case, the person being assisted may feel pain due to the strong feeling of pressure caused by the armpit support section pushing up both armpits.

さらに、一部の介助装置では、一対の脇支持部に作用する下向きの荷重に応じて、一対の脇支持部を互いに接近する方向に揺動または移動させ、被介助者を確実に支持できるようにした構成も採用されている。この構成において、被介助者は、左右の脇支持部が側腹部を挟み込む圧迫力により痛みを感じることがあった。この痛みは、大柄な体格の被介助者で顕著になりがちである。 Furthermore, some assistance devices swing or move the pair of armpit supports toward each other in response to a downward load acting on the pair of armpit supports, so that they can reliably support the person being assisted. This configuration is also adopted. In this configuration, the person being cared for may feel pain due to the pressure exerted by the left and right side support portions pinching the side abdomen. This pain tends to be more noticeable in large-sized care recipients.

それゆえ、本明細書では、被介助者の痛みを軽減して快適な使い心地を実現した介助装置を提供することを解決すべき課題とする。 Therefore, in this specification, the problem to be solved is to provide an assistance device that reduces the pain of the person being assisted and provides a comfortable feeling of use.

本明細書は、基台と、被介助者の左右の脇をそれぞれ支持する一対の脇支持部と、前記基台を基準として、一対の前記脇支持部を少なくとも上下方向に移動させる駆動部と、を備える介助装置であって、前記脇支持部は、前記被介助者の少なくとも前記脇および上腕部に接触する通常表面部と、前記通常表面部よりも小さな摩擦係数を有して前記被介助者の側腹部に接触する摩擦低減表面部と、を有する、介助装置を開示する。 The present specification includes a base, a pair of armpit support parts that respectively support left and right armpits of a person being cared for, and a drive part that moves the pair of armpit support parts at least in the vertical direction with respect to the base. , the armpit support part has a normal surface part that contacts at least the armpit and upper arm of the person being assisted, and a friction coefficient smaller than that of the normal surface part, an assistive device having a friction-reducing surface that contacts the side of a person.

これによれば、脇支持部の表面のうち被介助者の側腹部に接触する部分は摩擦低減表面部となる。このため、摩擦力により生じる被介助者の痛みが軽減される。したがって、快適な使い心地を実現した介助装置を提供することができる。 According to this, the portion of the surface of the armpit support portion that comes into contact with the flank of the care recipient becomes a friction reducing surface portion. Therefore, the pain of the person being assisted due to the frictional force is reduced. Therefore, it is possible to provide an assistance device that is comfortable to use.

また、本明細書は、基台と、被介助者の左右の脇をそれぞれ支持する一対の脇支持部と、前記基台を基準として、一対の前記脇支持部を少なくとも上下方向に移動させる駆動部と、を備える介助装置であって、前記脇支持部は、芯部材と、前記芯部材を覆いつつ弾性変形が可能であり、その中心よりも下方に前記芯部材が配置される外周部材と、を有する、介助装置を開示する。 Further, the present specification includes a base, a pair of armpit support parts that respectively support left and right armpits of a care recipient, and a drive that moves the pair of armpit support parts at least in the vertical direction with respect to the base. The armpit support part includes a core member, and an outer peripheral member that is elastically deformable while covering the core member, and in which the core member is disposed below the center of the armpit support part. Disclosed is an assistance device having the following.

これによれば、脇支持部を構成する外周部材の上側の厚みを従来よりも大きくして、脇を押し上げる圧迫感の発生を抑制できる。このため、被介助者の痛みが軽減される。したがって、快適な使い心地を実現した介助装置を提供することができる。 According to this, it is possible to increase the thickness of the upper side of the outer circumferential member constituting the armpit support part than in the past, thereby suppressing the occurrence of a feeling of pressure that pushes up the armpit. Therefore, the pain of the person being assisted is reduced. Therefore, it is possible to provide an assistance device that is comfortable to use.

さらに、本明細書は、基台と、被介助者の左右の脇をそれぞれ支持するとともに、互いに接近または離間する方向に揺動可能または移動可能な一対の脇支持部と、前記基台を基準として、一対の前記脇支持部を少なくとも上下方向に移動させる駆動部と、一対の前記脇支持部が互いに接近する方向の揺動範囲または移動範囲を制限する制限機構と、を備える介助装置を開示する。 Furthermore, this specification provides a base, a pair of armpit support parts that respectively support the left and right sides of the care recipient and are swingable or movable in directions toward or away from each other, and the base as a reference. Discloses an assistance device comprising: a drive unit that moves the pair of armpit supports at least in the vertical direction; and a restriction mechanism that limits the swing range or movement range of the pair of armpit supports in the direction in which the armpit supports approach each other. do.

これによれば、一対の脇支持部が互いに接近したときの最接近距離が制限される。このため、被介助者の側腹部を両側から挟み込む圧迫力が抑制され、被介助者の痛みが軽減される。したがって、快適な使い心地を実現した介助装置を提供することができる。 According to this, the closest distance when the pair of side support parts approach each other is limited. Therefore, the compressive force that pinches the side of the person to be cared for from both sides is suppressed, and the pain of the person to be cared for is alleviated. Therefore, it is possible to provide an assistance device that is comfortable to use.

第1実施形態の介助装置の全体構成を示す側面図である。FIG. 1 is a side view showing the overall configuration of the assisting device according to the first embodiment. 胴体支持部および脇支持部を含む支持部材を後方から見た図である。FIG. 3 is a rear view of a support member including a torso support section and an armpit support section. 図2のIII-III断面に示される脇支持部の断面図である。FIG. 3 is a sectional view of the armpit support section taken along the line III-III in FIG. 2; 第1実施形態の介助装置の作用を説明する図である。It is a figure explaining the operation of the assistance device of a 1st embodiment. 第2実施形態の脇支持部の後部を後方から見た図である。FIG. 7 is a view of the rear part of the armpit support part of the second embodiment seen from the rear. 第2実施形態の介助装置の作用を説明する図である。It is a figure explaining the effect|action of the assistance device of 2nd Embodiment. 第3実施形態の介助装置において、制限機構および調整部の一形態に相当する制限ベルトおよび調整バックルを示す斜視図である。FIG. 7 is a perspective view showing a restriction belt and an adjustment buckle, which are one form of a restriction mechanism and an adjustment section, in an assisting device according to a third embodiment. 制限ベルトおよび調整バックルの機能を説明する図である。It is a figure explaining the function of a restriction belt and an adjustment buckle. 第3実施形態の介助装置の作用を説明する図である。It is a figure explaining the operation of the assistance device of a 3rd embodiment. 第4実施形態の介助装置の制限機構および調整部を模式的に示す図である。It is a figure showing typically a restriction mechanism and an adjustment part of an assistance device of a 4th embodiment. 各実施形態に追加できる脇支持アシスト機構を説明する斜視図である。FIG. 3 is a perspective view illustrating an armpit support assist mechanism that can be added to each embodiment.

1.第1実施形態の介助装置1の全体構成
第1実施形態の介助装置1の全体構成について、図1を参考にして説明する。図1の右上の矢印に示されるように、介助装置1の上下前後を定める。介助装置1は、例えば、被介助者のベッドと車椅子と間の移乗や、車椅子と便座の間の移乗など、異なる二箇所の間の移乗に利用される。介助装置1は、被介助者の上体を支持して、座位姿勢から起立姿勢への起立動作、および起立姿勢から座位姿勢への着座動作を介助する。
1. Overall configuration of the assistance device 1 of the first embodiment The overall configuration of the assistance device 1 of the first embodiment will be described with reference to FIG. 1. As shown by the arrows in the upper right corner of FIG. 1, the upper and lower sides of the assisting device 1 are determined. The assistance device 1 is used for transferring between two different locations, such as transferring a person being assisted between a bed and a wheelchair, or transferring between a wheelchair and a toilet seat. The assistance device 1 supports the upper body of the person to be assisted, and assists the person being assisted in standing up from a sitting position to a standing position and sitting down from a standing position to a sitting position.

ここで、起立姿勢は、臀部が座面から浮いて脚部が伸びた姿勢を意味し、立位姿勢および中腰姿勢を含む。つまり、起立姿勢は、上体が概ね直立した立位姿勢、および上体が前傾した中腰の前かがみの姿勢などを含む。また、介助装置1は、移乗する二箇所が離れている場合に、被介助者が搭乗して移動する用途にも使用される。例えば、介助装置1は、被介助者が居室からトイレや食堂などへ移動する用途に使用される。介助装置1は、基台2、アーム部材3、上体支持部4および脇支持部5を含む支持部材6、アクチュエータ7、ならびに図略の制御部などで構成される。 Here, the standing posture refers to a posture in which the buttocks are lifted off the seat surface and the legs are stretched, and includes a standing posture and a half-waisted posture. In other words, the standing posture includes a standing posture in which the upper body is generally upright, a posture in which the upper body is bent forward and half-slouched at the waist, and the like. The assistance device 1 is also used for a purpose in which a person to be assisted gets on board and moves when two places to be transferred are far apart. For example, the assistance device 1 is used to move a person being assisted from a living room to a restroom, dining room, or the like. The assistance device 1 includes a base 2, an arm member 3, a support member 6 including an upper body support section 4 and an armpit support section 5, an actuator 7, a control section (not shown), and the like.

基台2は、被介助者が搭乗する部位である。基台2は、アーム部材3およびアクチュエータ7が組み付けられる。基台2は、フットプレート20、左右一対のパイプフレーム21、および左右一対の組み付けフレーム22などで形成される。フットプレート20は、金属製や樹脂製の板材で形成され、床面Fよりもわずかに高い位置で水平に延在する。フットプレート20の左右の縁は、下方に折り曲げられている。フットプレート20は、被介助者が足を載せる部材である。 The base 2 is a part on which the person being assisted gets on. The arm member 3 and the actuator 7 are assembled to the base 2. The base 2 is formed of a foot plate 20, a pair of left and right pipe frames 21, a pair of left and right assembly frames 22, and the like. The foot plate 20 is formed of a plate material made of metal or resin, and extends horizontally at a position slightly higher than the floor surface F. The left and right edges of the foot plate 20 are bent downward. The foot plate 20 is a member on which the person being assisted places his or her feet.

パイプフレーム21は、金属製のパイプが曲げ加工されて形成される。左右一対のパイプフレーム21は、フットプレート20の下側に取り付けられ、前方に延在する。各パイプフレーム21の前部211は、フットプレート20の前方で上方に屈曲されている。一対のパイプフレーム21の前部211の前側に、起立した板形状の組み付けフレーム22がそれぞれ設けられる。 The pipe frame 21 is formed by bending a metal pipe. A pair of left and right pipe frames 21 are attached to the lower side of the foot plate 20 and extend forward. The front portion 211 of each pipe frame 21 is bent upward in front of the foot plate 20. An upright plate-shaped assembly frame 22 is provided on the front side of the front portion 211 of the pair of pipe frames 21, respectively.

左右一対の組み付けフレーム22の上部に、揺動支持座29がそれぞれ設けられる。一対の組み付けフレーム22の下方に、前輪25がそれぞれ設けられる。パイプフレーム21の前部211の上端に、位置調整部281がそれぞれ設けられる。位置調整部281は、被介助者の体格などに合わせて、膝当て部材28の前後方向の位置を介助者等が調整する手動調整機構である。 Swing support seats 29 are provided on the upper portions of the pair of left and right assembly frames 22, respectively. Front wheels 25 are provided below the pair of assembly frames 22, respectively. Position adjustment parts 281 are provided at the upper ends of the front parts 211 of the pipe frames 21, respectively. The position adjustment unit 281 is a manual adjustment mechanism by which a caregiver or the like adjusts the position of the knee pad member 28 in the front-rear direction according to the physique of the person being assisted.

膝当て部材28は、フットプレート20の上方に位置しており、被介助者の膝が当接する部位である。膝当て部材28が膝の位置を定めることにより、被介助者の起立動作や着座動作が安定化する。膝当て部材28は、ベースプレート282、膝当て本体283、および2本の支持ロッド284などで形成される。ベースプレート282は、金属の板材を用いて左右方向に延在するように形成され、垂直方向よりも少しだけ前傾して配置される。膝当て本体283は、弾性変形可能なウレタンフォームなどで形成され、ベースプレート282の後側に取り付けられる。2本の支持ロッド284は、金属の棒材を用いて形成され、ベースプレート282を左右の位置調整部281に結合する。 The knee rest member 28 is located above the foot plate 20, and is a part against which the knee of the person being assisted comes into contact. The knee pad member 28 determines the position of the knees, thereby stabilizing the standing and sitting movements of the person being assisted. The knee pad member 28 is formed of a base plate 282, a knee pad main body 283, two support rods 284, and the like. The base plate 282 is formed using a metal plate material so as to extend in the left-right direction, and is arranged slightly tilted forward with respect to the vertical direction. The knee pad main body 283 is formed of elastically deformable urethane foam or the like, and is attached to the rear side of the base plate 282. The two support rods 284 are formed using metal bars, and connect the base plate 282 to the left and right position adjustment parts 281.

フットプレート20の前寄り位置に、アクチュエータ支持材23が設けられる。フットプレート20の前寄りの下面の左右両側に、中輪26がそれぞれ設けられる。フットプレート20の後端部の下面の左右両側に、後輪27がそれぞれ設けられる。中輪26および後輪27は、前輪25よりも小径である。前輪25、中輪26、および後輪27は、転舵機能を有する。したがって、介助装置1は、直進移動および旋回移動だけでなく、横移動および超信地旋回が可能である。さらに、前輪25は、介助装置1の移動を規制するロック機能を備える。 An actuator support member 23 is provided at a position near the front of the foot plate 20. Middle wheels 26 are provided on both left and right sides of the front lower surface of the foot plate 20, respectively. Rear wheels 27 are provided on both left and right sides of the lower surface of the rear end portion of the foot plate 20, respectively. The middle wheel 26 and the rear wheel 27 have a smaller diameter than the front wheel 25. The front wheel 25, the middle wheel 26, and the rear wheel 27 have a steering function. Therefore, the assistance device 1 is capable of not only straight movement and turning movement, but also lateral movement and superposition turning. Further, the front wheel 25 has a locking function to restrict movement of the assistance device 1.

アーム部材3は、図1に示されるように、側方から見て途中で屈折した形状に形成される。アーム部材3の下部寄りに、左右一対の揺動軸31が設けられる。一対の揺動軸31は、それぞれ組み付けフレーム22の揺動支持座29に揺動可能に支持される。アーム部材3の揺動角度範囲を規制するために、図略のストッパ機構が揺動支持座29の近傍に設けられる。これにより、アーム部材3は、基台2に対して上前方向および下後方向に揺動可能となっている。アーム部材3は、被介助者の起立動作時に上前方向へ揺動する(図1における時計回りの揺動)。また、アーム部材3は、被介助者の着座動作時に下後方向へ揺動する。 As shown in FIG. 1, the arm member 3 is bent in the middle when viewed from the side. A pair of left and right swing shafts 31 are provided near the bottom of the arm member 3 . The pair of swing shafts 31 are swingably supported by swing support seats 29 of the assembly frame 22, respectively. In order to restrict the swing angle range of the arm member 3, an unillustrated stopper mechanism is provided near the swing support seat 29. Thereby, the arm member 3 can swing relative to the base 2 in the up-front direction and the down-back direction. The arm member 3 swings upward and forward when the person being assisted stands up (clockwise swing in FIG. 1). Furthermore, the arm member 3 swings in the downward and rearward direction when the person being assisted is seated.

アーム部材3の内部に、図略のバッテリおよびリンク機構が収納される。バッテリは、アクチュエータ7および制御部の電源となる。アーム部材3の上部の後側に揺動支持部(符号略)が設けられ、揺動支持部に揺動部材32が設けられる。揺動部材32は、アーム部材3に対して揺動する。ただし、被介助者が支持部材6に接触する以前の初期状態において、揺動部材32は、リンク機構に規制されて揺動しない。なお、本願出願人は、リンク機構の詳細な構成例を国際公開第2018/167856号に開示している。 A battery and a link mechanism (not shown) are housed inside the arm member 3. The battery serves as a power source for the actuator 7 and the control section. A swing support section (not shown) is provided on the rear side of the upper part of the arm member 3, and a swing member 32 is provided on the swing support section. The swinging member 32 swings relative to the arm member 3. However, in the initial state before the person being assisted contacts the support member 6, the swinging member 32 is regulated by the link mechanism and does not swing. The applicant of this application has disclosed a detailed configuration example of the link mechanism in International Publication No. 2018/167856.

揺動部材32は、後側にベースプレート33を有する。ベースプレート33は、金属製や樹脂製の剛性の大きな板材を用いて形成される。ベースプレート33は、ハンドル34を前面に有する。ハンドル34は、概ね四角形の枠形状に形成され、アーム部材3の上方に延在する。ハンドル34は、被介助者が把持する部位であるとともに、介助装置1を移動させるために介助者が把持する部位でもある。 The swinging member 32 has a base plate 33 on the rear side. The base plate 33 is formed using a highly rigid plate material made of metal or resin. The base plate 33 has a handle 34 on the front side. The handle 34 is formed in a generally rectangular frame shape and extends above the arm member 3. The handle 34 is a part that is gripped by the person being assisted, and is also a part that is gripped by the caregiver in order to move the assistance device 1 .

支持部材6は、ベースプレート33の後側に設けられる。支持部材6は、上体支持部4および一対の脇支持部5を含んで構成される。上体支持部4は、ベースプレート33の後面に取り付けられる。上体支持部4は、硬質緩衝部材41および軟質緩衝部材42が積層されて形成される。上体支持部4は、被介助者の上半身、主に胸部から腹部の辺りを支持する。 The support member 6 is provided on the rear side of the base plate 33. The support member 6 includes an upper body support part 4 and a pair of armpit support parts 5. The upper body support part 4 is attached to the rear surface of the base plate 33. The upper body support part 4 is formed by laminating a hard buffer member 41 and a soft buffer member 42. The upper body support section 4 supports the upper body of the person being assisted, mainly from the chest to the abdomen.

一対の脇支持部5は、ベースプレート33の左右に取り付けられ、上体支持部4の左右両側に配置される。脇支持部5は、鈍角に屈曲するL字形状に形成される。脇支持部5の屈曲箇所より上側の起立した上部は、被介助者の肩に当接する。脇支持部5の屈曲箇所より下側の傾斜した直線部は、被介助者の脇に進入して上半身を支持する。被介助者の起立動作時に、脇支持部5は、被介助者を抱え上げる役割を果たす。脇支持部5の詳細構成については後述する。 The pair of armpit support parts 5 are attached to the left and right sides of the base plate 33 and are arranged on both left and right sides of the upper body support part 4. The side support portion 5 is formed into an L-shape bent at an obtuse angle. The upper part of the armpit support part 5 that stands up above the bent part comes into contact with the shoulder of the person being assisted. The inclined straight portion below the bent portion of the armpit support portion 5 enters the armpit of the care recipient and supports the upper body. When the person being assisted stands up, the armpit support portion 5 plays a role of lifting the person being assisted. The detailed configuration of the side support portion 5 will be described later.

アクチュエータ7は、基台2を基準として、一対の脇支持部5を少なくとも上下方向に移動させる駆動部の一実施形態である。アクチュエータ7は、伸縮する直動アクチュエータであり、本体部71、可動部72、およびモータ73などで形成される。本体部71は、上下に長い太径の円筒状の部材であり、上部に開口部を有する。本体部71の下端は、基台2のアクチュエータ支持材23に支持される。可動部72は、上下に長い細径の丸棒状の部材である。可動部72の上端は、アーム部材3のリンク機構に接続される。可動部72の下部は、本体部71の開口部に嵌入している。 The actuator 7 is an embodiment of a drive unit that moves the pair of side support parts 5 at least in the vertical direction with the base 2 as a reference. The actuator 7 is a linear actuator that expands and contracts, and is formed by a main body portion 71, a movable portion 72, a motor 73, and the like. The main body portion 71 is a cylindrical member with a large diameter that is vertically long and has an opening at the top. The lower end of the main body portion 71 is supported by the actuator support member 23 of the base 2 . The movable part 72 is a vertically long, thin round bar-shaped member. The upper end of the movable part 72 is connected to the link mechanism of the arm member 3. The lower part of the movable part 72 is fitted into the opening of the main body part 71.

モータ73は、本体部71の下部の前側に取り付けられる。モータ73は、制御部によって電流の通電方向が切り替え制御され、可動部72の伸び動作および縮み動作を駆動する。これにより、可動部72は、本体部71に対して伸縮動作する。アクチュエータ7は、最小長さから所定の途中長さまで伸びる第一伸び動作、および、途中長さから最大長さまで伸びる第二伸び動作を行う。 The motor 73 is attached to the lower front side of the main body portion 71 . The motor 73 is controlled by the control section to switch the current direction, and drives the movable section 72 to extend and contract. Thereby, the movable part 72 expands and contracts with respect to the main body part 71. The actuator 7 performs a first extension operation of extending from the minimum length to a predetermined intermediate length, and a second extension operation of extending from the intermediate length to the maximum length.

アクチュエータ7の第一伸び動作により、支持部材6は、リンク機構を介して駆動され、上前方向に揺動する。アクチュエータ7の第二伸び動作により、アーム部材3は、リンク機構を介して駆動され、上前方向に揺動する。このように、支持部材6は、基台2に対して上方に移動しつつ、前方にも移動する。これにより、介助装置1は、被介助者の起立動作を介助する。また、アクチュエータ7の縮み動作により、支持部材6は、下方に移動しつつ、後方にも移動する。これにより、介助装置1は、被介助者の着座動作を介助する。 By the first extension motion of the actuator 7, the support member 6 is driven via the link mechanism and swings upward and forward. By the second extension operation of the actuator 7, the arm member 3 is driven via the link mechanism and swings in the upward and forward direction. In this way, the support member 6 moves upward with respect to the base 2 and also moves forward. Thereby, the assistance device 1 assists the person to be assisted in standing up. Further, due to the contraction operation of the actuator 7, the support member 6 moves downward and also moves backward. Thereby, the assistance device 1 assists the person to be assisted in sitting.

図略の制御部は、操作器および制御本体部などで構成される。操作器は、アクチュエータ7を操作する上昇ボタンおよび下降ボタンを有する。操作器は、介助者によって操作される。制御本体部は、CPUを有してソフトウェアで動作するコンピュータ装置である。制御本体部は、上昇ボタンおよび下降ボタンの操作情報に応じて、アクチュエータ7に流れる電流を制御する。これにより、アクチュエータ7の動作および停止、ならびに伸び動作と縮み動作の切り替えが制御される。 The control section (not shown) includes an operating device, a control main body section, and the like. The operating device has a rise button and a fall button for operating the actuator 7. The operating device is operated by a caregiver. The control main unit is a computer device that has a CPU and operates using software. The control main body controls the current flowing through the actuator 7 according to operation information of the up button and the down button. This controls the operation and stopping of the actuator 7, as well as switching between an extension operation and a contraction operation.

2.脇支持部5の詳細構成および作用
次に、脇支持部5の詳細構成および作用について、図2~図4を参考にして説明する。図2および図3に示されるように、脇支持部5は、芯部材51、外周部材52、通常カバー部材53、および摩擦低減カバー部材54で構成される。芯部材51は、例えば、金属製または硬質樹脂製の丸棒やパイプがL字形状に屈曲されて形成される。芯部材51の屈曲箇所より上側の上部、および屈曲箇所より下側の直線部は、脇支持部5の上部および直線部に対応する。芯部材51は、被介助者の体重を支持できる十分な機械的強度を有する。
2. Detailed configuration and operation of the armpit support portion 5 Next, the detailed configuration and operation of the armpit support portion 5 will be described with reference to FIGS. 2 to 4. As shown in FIGS. 2 and 3, the armpit support portion 5 includes a core member 51, an outer peripheral member 52, a normal cover member 53, and a friction reducing cover member 54. The core member 51 is formed by, for example, a round bar or pipe made of metal or hard resin bent into an L-shape. The upper part of the core member 51 above the bending part and the straight part below the bending part correspond to the upper part and the straight part of the armpit support part 5. The core member 51 has sufficient mechanical strength to support the weight of the person being assisted.

外周部材52は、弾性変形が可能なクッション材を用いて、芯部材51の少なくとも下側の直線部の外周を覆う肉厚の筒形状に形成されている。外周部材52を形成するクッション材の材質として、エチレンプロピレンゴムを原料とするスポンジゴムを例示できる。クッション材からなる外周部材52は、被介助者Mから作用する荷重に対して容易に圧縮変形する。外周部材52は、芯部材51に対する接着などの拘束が施されてもよいし、芯部材51に対して所定の角度範囲内で回転可能とされてもよい。 The outer peripheral member 52 is formed into a thick cylindrical shape that covers at least the outer periphery of the lower straight portion of the core member 51 using an elastically deformable cushioning material. As the material of the cushioning material forming the outer peripheral member 52, sponge rubber made from ethylene propylene rubber can be exemplified. The outer circumferential member 52 made of a cushioning material is easily compressed and deformed by the load applied by the person being assisted. The outer peripheral member 52 may be restrained by adhesion to the core member 51 or may be rotatable within a predetermined angular range with respect to the core member 51.

通常カバー部材53は、例えば合成皮革を用いて形成される。通常カバー部材53は、外周部材52の外周を覆う筒形状に形成されている。通常カバー部材53は、外周部材52に接着され、外周部材52と共に変形可能である。通常カバー部材53は、芯部材51および外周部材52の下後側の端面を覆っていてもよい。 Usually, the cover member 53 is formed using synthetic leather, for example. Usually, the cover member 53 is formed in a cylindrical shape to cover the outer periphery of the outer peripheral member 52. Typically, the cover member 53 is bonded to the outer circumferential member 52 and is deformable together with the outer circumferential member 52 . Normally, the cover member 53 may cover the lower and rear end surfaces of the core member 51 and the outer peripheral member 52.

摩擦低減カバー部材54は、略四角形の合成樹脂製シート、例えばポリプロピレン製シートを用いて形成される。図3に示されるように、摩擦低減カバー部材54は、一対の脇支持部5の上側から向かい合う内側を経由して下側まで延在する。摩擦低減カバー部材54は、通常カバー部材53の外面に接着され、または縫い付けられて配置される。 The friction-reducing cover member 54 is formed using a substantially rectangular synthetic resin sheet, for example, a polypropylene sheet. As shown in FIG. 3, the friction reducing cover member 54 extends from the upper side of the pair of side support parts 5 to the lower side via the opposing inner sides. Friction-reducing cover member 54 is typically glued or sewn onto the outer surface of cover member 53 .

上記の構成によれば、摩擦低減カバー部材54は、被介助者の側腹部に接触する。また、通常カバー部材53は、被介助者の少なくとも脇および上腕部に接触する。ここで、通常カバー部材53の表面は、摩擦低減カバー部材54と比較して相対的に粗く、相対的に大きな摩擦係数を有する。逆に、摩擦低減カバー部材54の表面は、相対的に滑らかであり、相対的に小さな摩擦係数を有する。したがって、通常カバー部材53は、被介助者の少なくとも脇および上腕部に接触する通常表面部を構成する。また、摩擦低減カバー部材54は、通常表面部よりも小さな摩擦係数を有して被介助者の側腹部に接触する摩擦低減表面部を構成する。 According to the above configuration, the friction reducing cover member 54 comes into contact with the flank of the person being assisted. Further, the cover member 53 normally contacts at least the armpit and upper arm of the person being assisted. Here, the surface of the normal cover member 53 is relatively rough compared to the friction reducing cover member 54, and has a relatively large coefficient of friction. Conversely, the surface of friction-reducing cover member 54 is relatively smooth and has a relatively small coefficient of friction. Therefore, the normal cover member 53 constitutes a normal surface portion that contacts at least the armpit and upper arm of the person being assisted. Further, the friction-reducing cover member 54 constitutes a friction-reducing surface portion that has a smaller coefficient of friction than the normal surface portion and contacts the flank of the person being cared for.

図4に示される被介助者Hの起立動作の初期状態において、脇支持部5は、被介助者Hの脇の下方の側腹部と上腕部の間に位置する。介助装置1による起立動作の介助が始まると、脇支持部5は、上方に移動しながら被介助者Hを抱え上げる。このとき、脇支持部5は、側腹部に接触しながら上昇し、摩擦力F1が発生する。この摩擦力F1により、外周部材52は、摩擦低減カバー部材54が下降する回転方向R1(図3参照)に捻じれ変形し、圧縮変形も伴う。また、被介助者Hの側腹部には、摺り上げる方向の摩擦力F1が作用する。それでも、側腹部に接触するのは摩擦低減カバー部材54(摩擦低減表面部)であるため、発生する摩擦力F1が軽減される。 In the initial state of the person being assisted H standing up as shown in FIG. 4, the armpit support portion 5 is located between the flank and upper arm below the armpit of the person being assisted H. When the assistance device 1 starts assisting the person to stand up, the armpit support portion 5 moves upward and lifts the person being assisted H. At this time, the armpit support part 5 rises while contacting the flank, and a frictional force F1 is generated. Due to this frictional force F1, the outer peripheral member 52 is twisted and deformed in the rotational direction R1 (see FIG. 3) in which the friction reducing cover member 54 descends, and is also compressively deformed. Further, a frictional force F1 in a sliding direction acts on the flank of the person being assisted H. Even so, since it is the friction-reducing cover member 54 (friction-reducing surface portion) that contacts the flank, the generated friction force F1 is reduced.

一方、通常カバー部材53は、適度の面圧および摩擦力で被介助者Hの脇および上腕部に接触するので、抱え上げる力が確保される。したがって、脇支持部5は、被介助者Hを安定的に抱え上げることができる。仮に、通常カバー部材53を用いず、外周部材52の全周を摩擦低減カバー部材54で覆うと、側腹部や上腕部の滑動が過大となり、被介助者Hの姿勢が不安定化するおそれが生じる。 On the other hand, the cover member 53 normally comes into contact with the armpit and upper arm of the person being assisted H with appropriate surface pressure and frictional force, so that the force to hold the person being assisted H is ensured. Therefore, the armpit support section 5 can stably hold the person being assisted. If the normal cover member 53 is not used and the entire circumference of the outer peripheral member 52 is covered with the friction-reducing cover member 54, the side abdomen and upper arm may slide excessively, and the posture of the person being assisted H may become unstable. arise.

第1実施形態の介助装置1によれば、脇支持部5の表面のうち被介助者Hの側腹部に接触する部分は摩擦低減カバー部材54(摩擦低減表面部)となる。このため、摩擦力F1により生じる被介助者Hの痛みが軽減される。したがって、快適な使い心地を実現した介助装置1を提供することができる。 According to the assistance device 1 of the first embodiment, the portion of the surface of the armpit support portion 5 that comes into contact with the flank of the person to be assisted H becomes the friction-reducing cover member 54 (friction-reducing surface portion). Therefore, the pain of the person being assisted H caused by the frictional force F1 is reduced. Therefore, it is possible to provide the assistance device 1 that is comfortable to use.

なお、通常カバー部材53および摩擦低減カバー部材54の材質の組み合わせは、上記した例に限定されず、別の材質の組み合わせであってもよい。また、摩擦低減カバー部材54は、通常カバー部材53の外面に重ねて配置される二層構成でなく、通常カバー部材53に形成された略四角形の切り欠き部に配置される一層構成でもよい。さらに、通常カバー部材53が省略され、外周部材52の外面の一部に直接的に摩擦低減カバー部材54が接着されていてもよい。この場合、摩擦低減カバー部材54の表面の摩擦係数は、外周部材52の外面の摩擦係数よりも小さく設定される。 Note that the combination of materials for the normal cover member 53 and the friction-reducing cover member 54 is not limited to the above-described example, and may be a combination of other materials. Furthermore, the friction-reducing cover member 54 does not have a two-layer structure in which it is normally disposed on the outer surface of the cover member 53, but may have a single-layer structure in which it is disposed in a substantially rectangular notch formed in the cover member 53. Furthermore, the normal cover member 53 may be omitted and the friction reducing cover member 54 may be directly adhered to a part of the outer surface of the outer peripheral member 52. In this case, the friction coefficient of the surface of the friction reducing cover member 54 is set smaller than the friction coefficient of the outer surface of the outer peripheral member 52.

3.第2実施形態の介助装置1の脇支持部5A
次に、第2実施形態の介助装置1について、図5および図6を参考にして、第1実施形態と異なる点を主に説明する。第2実施形態において、脇支持部5A以外の構成は、第1実施形態と同じである。図5に示されるように、第2実施形態の脇支持部5Aは、芯部材51、中間部材55、および外周部材52で構成される。
3. Armpit support part 5A of assistance device 1 of the second embodiment
Next, with reference to FIGS. 5 and 6, the assistance device 1 according to the second embodiment will be mainly described in terms of its differences from the first embodiment. In the second embodiment, the configuration other than the side support portion 5A is the same as the first embodiment. As shown in FIG. 5, the armpit support portion 5A of the second embodiment includes a core member 51, an intermediate member 55, and an outer peripheral member 52.

芯部材51は、金属製または硬質樹脂製の丸棒やパイプを用いて形成される。中間部材55は、外周部材52よりも硬質であるが弾性変形が可能な材質、例えば硬めのスポンジゴムを用いて、芯部材51の外周を覆う肉厚の筒形状に形成されている。外周部材52は、クッション材を用いて、中間部材55の外周のうち上側を覆い、下側を覆わない形状に形成されている。なお、中間部材55は、外周部材52と同じ材質で形成されてもよく、または外周部材52と一体に形成されてもよい。また、脇支持部5Aの側腹部に接触する内側と、外側とが対称構造である必要はない。 The core member 51 is formed using a round bar or pipe made of metal or hard resin. The intermediate member 55 is formed into a thick cylindrical shape that covers the outer periphery of the core member 51 using a material that is harder than the outer circumferential member 52 but can be elastically deformed, such as harder sponge rubber. The outer peripheral member 52 is formed using a cushioning material in a shape that covers the upper side of the outer periphery of the intermediate member 55 and does not cover the lower side. Note that the intermediate member 55 may be formed of the same material as the outer circumferential member 52, or may be formed integrally with the outer circumferential member 52. Further, the inner side of the armpit support portion 5A that contacts the flank and the outer side do not need to have a symmetrical structure.

本第2実施形態において、中間部材55は、芯部材51を覆いつつ弾性変形が可能な外周部材52の一部となっている。これによれば、中間部材55を含む外周部材52の中心よりも下方に、芯部材51が配置されたことになる。また、中間部材55を含む外周部材52の上側の厚みD1が下側の厚みD2より大きい。さらに、上側の厚みD1は、略回転対称断面を有する従来の脇支持部のそれよりも大きく設定されている。 In the second embodiment, the intermediate member 55 is a part of the outer peripheral member 52 that can be elastically deformed while covering the core member 51. According to this, the core member 51 is arranged below the center of the outer peripheral member 52 including the intermediate member 55. Further, the upper thickness D1 of the outer peripheral member 52 including the intermediate member 55 is larger than the lower thickness D2. Furthermore, the thickness D1 of the upper side is set larger than that of a conventional armpit support portion having a substantially rotationally symmetrical cross section.

図6に示される被介助者Hの起立動作の途中状態において、被介助者Hの体重による荷重W1が脇支持部5Aに作用する。この反力として、脇支持部5Aは、被介助者Hの脇を押し上げるので、被介助者Hは、脇に圧迫感をもつ。それでも、中間部材55を含む外周部材52の上側の厚みD1が大きいので、従来よりも大きな変形が発生して圧迫感が抑制される。 In a state in which the person being assisted H is standing up as shown in FIG. 6, a load W1 due to the body weight of the person being assisted H acts on the armpit support portion 5A. As this reaction force, the armpit support section 5A pushes up the armpits of the person being assisted H, so the person being assisted H feels a feeling of pressure in the armpits. Even so, since the thickness D1 of the upper side of the outer circumferential member 52 including the intermediate member 55 is large, a larger deformation than before occurs and the feeling of pressure is suppressed.

第2実施形態の介助装置1によれば、脇支持部5Aを構成する外周部材52の上側の厚みD1を従来よりも大きくして、脇を押し上げる圧迫感の発生を抑制できる。このため、被介助者Hの痛みが軽減される。したがって、快適な使い心地を実現した介助装置1を提供することができる。 According to the assisting device 1 of the second embodiment, the thickness D1 of the upper side of the outer circumferential member 52 constituting the armpit support portion 5A is made larger than before, thereby suppressing the occurrence of a feeling of pressure that pushes up the armpit. Therefore, the pain of the person being assisted H is alleviated. Therefore, it is possible to provide the assistance device 1 that is comfortable to use.

なお、中間部材55を含む外周部材52の厚みを全周にわたって一律に大きくするのでなく、上側の厚みD1を大きく、下側の厚みD2を小さくする。これにより、脇支持部5Aの大型化を抑制することができる。加えて、下側の厚みD2を小さくすることで、脇支持部5Aと床面Fとの間に広いスペースを確保でき、車椅子の進入が容易になる。これにより、被介助者Hは、車椅子からフットプレート20へ容易に移乗することができ、使用快適性が向上する。 Note that the thickness of the outer peripheral member 52 including the intermediate member 55 is not uniformly increased over the entire circumference, but the upper thickness D1 is increased and the lower thickness D2 is decreased. Thereby, it is possible to suppress the side support portion 5A from increasing in size. In addition, by reducing the thickness D2 of the lower side, a wide space can be secured between the armpit support part 5A and the floor surface F, making it easier for a wheelchair to enter. Thereby, the person being assisted H can easily transfer from the wheelchair to the foot plate 20, improving the comfort of use.

また、中間部材55は、弾性変形しないソリッドな材質で形成して、芯部材51の一部とすることができる。この変形態様において、外周部材52は、中間部材55を含む芯部材51の上側を覆い、下側を覆わない。ただし、外周部材52の上側の厚みD3は、従来の脇支持部のそれよりも大きく設定される。 Moreover, the intermediate member 55 can be made of a solid material that does not undergo elastic deformation and can be a part of the core member 51. In this modification, the outer peripheral member 52 covers the upper side of the core member 51 including the intermediate member 55, but does not cover the lower side. However, the upper thickness D3 of the outer circumferential member 52 is set larger than that of the conventional armpit support portion.

4.第3実施形態の介助装置1
次に、第3実施形態の介助装置1について、図7~図9を参考にして、第1および第2実施形態と異なる点を主に説明する。第3実施形態の介助装置1は、基台2、アーム部材3、上体支持部4および脇支持部5Bを含む支持部材6、アクチュエータ7、図略の制御部に加えて、制限ベルト81および調整バックル83を備える。図8において、上体支持部4および外周部材52は、図示省略されている。
4. Assistance device 1 of the third embodiment
Next, with reference to FIGS. 7 to 9, the assistance device 1 of the third embodiment will be mainly described in terms of its differences from the first and second embodiments. The assistance device 1 of the third embodiment includes, in addition to a base 2, an arm member 3, a support member 6 including an upper body support part 4 and an armpit support part 5B, an actuator 7, and a control part (not shown), a restriction belt 81 and a control part (not shown). An adjustment buckle 83 is provided. In FIG. 8, the upper body support part 4 and the outer peripheral member 52 are not shown.

図8に示されるように、脇支持部5Bを構成する芯部材51は、起立した前部の内側に取り付け板56を有する。取り付け板56は、ベースプレート33の後面に至近して配置される。取り付け板56の概ね中央に、所定位置57が設定される。所定位置57は、ベースプレート33によって揺動可能に支持されている。これにより、一対の芯部材51および脇支持部5Bは、矢印M1に示されるように、所定位置57を揺動中心として互いに接近する方向に揺動可能となる。また、取り付け板56の下縁の芯部材51に近い位置に制限位置58が設定される。 As shown in FIG. 8, the core member 51 constituting the armpit support portion 5B has a mounting plate 56 inside the upright front portion. The mounting plate 56 is arranged close to the rear surface of the base plate 33. A predetermined position 57 is set approximately at the center of the mounting plate 56. The predetermined position 57 is swingably supported by the base plate 33. As a result, the pair of core members 51 and the side support portions 5B can swing in a direction toward each other with the predetermined position 57 as the center of swing, as shown by arrow M1. Further, a limit position 58 is set at a position near the core member 51 on the lower edge of the mounting plate 56.

図7および図8に示されるように、概ね四角形の枠形状のハンドル34の上部の中央に、定点位置82が設定される。制限ベルト81は、一方の脇支持部5Bの制限位置58と、他方の脇支持部5Bの制限位置58とを結びつつ、定点位置82で摺動可能に折り返されている。制限ベルト81は、幅方向に伸縮可能であるが、長さ方向には伸縮しない。なお、ハンドル34は、脇支持部5Bと一体的に移動および揺動するので、図7および図8に示された位置関係は、常に保たれる。 As shown in FIGS. 7 and 8, a fixed point position 82 is set at the center of the upper part of the handle 34, which has a generally rectangular frame shape. The restriction belt 81 connects the restriction position 58 of one side support part 5B and the restriction position 58 of the other side support part 5B, and is slidably folded back at a fixed point position 82. The restriction belt 81 can be expanded and contracted in the width direction, but not in the length direction. Note that since the handle 34 moves and swings integrally with the side support portion 5B, the positional relationship shown in FIGS. 7 and 8 is always maintained.

制限ベルト81は、張ってテンションが生じた状態で、左右の制限位置58を規制して、取り付け板56および芯部材51の揺動範囲を制限する。これにより、脇支持部5Bの揺動範囲が制限される。つまり、制限ベルト81は、一対の脇支持部5Bが相互に接近するときの最接近距離を制限する機能を有する。また、制限ベルト81は、一対の脇支持部5Bが互いに離間する方向に関して、弛みが生じるだけであり、制限機能を有さない。制限ベルト81は、一対の脇支持部5Bが互いに接近する方向の揺動範囲または移動範囲を制限する制限機構の一形態である。 The restriction belt 81 restricts the left and right restriction positions 58 in a tensioned state, thereby restricting the swing range of the attachment plate 56 and the core member 51. This limits the swing range of the armpit support portion 5B. That is, the restriction belt 81 has a function of restricting the closest distance when the pair of armpit support portions 5B approach each other. Further, the restriction belt 81 only loosens in the direction in which the pair of armpit support portions 5B are separated from each other, and does not have a restriction function. The restriction belt 81 is one form of a restriction mechanism that restricts the swing range or movement range in the direction in which the pair of side support portions 5B approach each other.

制限ベルト81の一方の制限位置58と定点位置82の間に、調整バックル83が挿入されている。調整バックル83は、制限ベルト81の長さを調整する機能をもつ。介助者等は、被介助者の体格に応じ、調整バックル83を操作して制限ベルト81の長さを調整する。調整バックル83は、被介助者の体格に応じて、制限機構(制限ベルト81)が制限する揺動範囲または移動範囲を調整する調整部の一形態である。 An adjustment buckle 83 is inserted between one limit position 58 and a fixed point position 82 of the limit belt 81 . The adjustment buckle 83 has the function of adjusting the length of the restriction belt 81. A caregiver or the like operates the adjustment buckle 83 to adjust the length of the restriction belt 81 according to the physique of the person being helped. The adjustment buckle 83 is a form of an adjustment section that adjusts the swing range or movement range limited by the restriction mechanism (restriction belt 81) according to the physique of the person being assisted.

図9に示される被介助者Hの起立動作の初期状態において、脇支持部5Bは、被介助者Hの脇の下方の側腹部と上腕部の間に位置する。このとき、一対の脇支持部5Bは、被介助者Hの側腹部を両側から挟み込むため、圧迫力F2が発生する。それでも、制限ベルト81によって一対の脇支持部5Bの最接近距離が制限されるので、圧迫力F2が軽減される。 In the initial state of the standing up movement of the person being assisted H shown in FIG. 9, the armpit support portion 5B is located between the side abdomen and the upper arm below the armpit of the person being assisted H. At this time, the pair of armpit support portions 5B sandwich the flanks of the person being assisted H from both sides, so that a compressive force F2 is generated. Even so, since the limit belt 81 limits the closest distance between the pair of armpit support parts 5B, the pressing force F2 is reduced.

また、被介助者Hが小柄である場合に、介助者等は、制限ベルト81を長めに調整して、一対の脇支持部5Bの最接近距離を小さめに設定する。一方、被介助者Hが大柄である場合に、介助者等は、制限ベルト81を短めに調整して、一対の脇支持部5Bの最接近距離を大きめに設定する。これによれば、制限ベルト81の長さを調整することにより、一対の脇支持部5Bの最接近距離を被介助者Hの体格に適合させることができ、いつでも圧迫力F2を適正に軽減する効果が発生する。 Further, when the person being assisted H is small in stature, the caregiver or the like adjusts the restriction belt 81 to be longer, and sets the closest distance between the pair of armpit support portions 5B to be shorter. On the other hand, when the person being assisted H is large in stature, the caregiver or the like adjusts the restriction belt 81 to be shorter and sets the closest distance between the pair of armpit support portions 5B to be larger. According to this, by adjusting the length of the restriction belt 81, the closest distance between the pair of armpit support parts 5B can be adapted to the physique of the person being assisted H, and the compressive force F2 can be appropriately reduced at any time. effect occurs.

第3実施形態の介助装置1によれば、一対の脇支持部5Bが互いに接近したときの最接近距離が制限される。このため、被介助者Hの側腹部を両側から挟み込む圧迫力F2が抑制され、被介助者Hの痛みが軽減される。したがって、快適な使い心地を実現した介助装置1を提供することができる。 According to the assistance device 1 of the third embodiment, the closest distance when the pair of armpit support parts 5B approach each other is limited. Therefore, the compressive force F2 that pinches the flank of the person being assisted H from both sides is suppressed, and the pain of the person being assisted H is alleviated. Therefore, it is possible to provide the assistance device 1 that is comfortable to use.

なお、左右の脇支持部5Bの制限位置58と、定点位置82とを個別に結ぶ左右一対の制限ベルトを用いてもよい。この態様では、一対の制限ベルトのそれぞれに調整バックル83を設ける。また、調整バックル83を省略することが可能である。さらに、一対の脇支持部5Bは、揺動するのでなく、平行状態を維持しつつ互いに接近または離間する方向に移動可能であってもよい。この態様において、制限ベルト81に代わる制限機構は、一対の脇支持部5Bが互いに接近する方向の移動範囲を制限する。 Note that a pair of left and right restriction belts may be used that separately connect the restriction positions 58 of the left and right armpit support portions 5B and the fixed point positions 82. In this embodiment, an adjustment buckle 83 is provided on each of the pair of restriction belts. Furthermore, the adjustment buckle 83 can be omitted. Furthermore, the pair of side support portions 5B may be movable toward or away from each other while maintaining a parallel state, instead of swinging. In this aspect, a limiting mechanism that replaces the limiting belt 81 limits the range of movement in the direction in which the pair of side support portions 5B approach each other.

5.第4実施形態の介助装置1
次に、第4実施形態の介助装置1について、図10を参考にして、第1~第3実施形態と異なる点を主に説明する。図10において、上体支持部4および外周部材52は、図示省略されている。第4実施形態の介助装置1は、第3実施形態と同様に芯部材51および脇支持部5Bが揺動し、第3実施形態と異なる制限機構および調整部を備える。制限機構は、一対の制限ピン86と制限ロッド87により構成される。調整部として、ロッド位置調整部88が設けられる。
5. Assistance device 1 of the fourth embodiment
Next, with reference to FIG. 10, the assistance device 1 of the fourth embodiment will be mainly described in terms of its differences from the first to third embodiments. In FIG. 10, the upper body support portion 4 and the outer peripheral member 52 are not shown. The assisting device 1 of the fourth embodiment has a core member 51 and an armpit support part 5B that swing like the third embodiment, and includes a restriction mechanism and an adjustment part that are different from the third embodiment. The restriction mechanism includes a pair of restriction pins 86 and a restriction rod 87. A rod position adjustment section 88 is provided as an adjustment section.

一対の制限ピン86は、第3実施形態の制限位置58に代えて、左右の取り付け板56の下縁寄りの芯部材51に近い位置に設けられる。制限ロッド87は、左右の取り付け板56の後面に架け渡されて設けられ、制限ピン86よりも下側に配置される。脇支持部5Bおよび芯部材51が互いに接近する方向M1に揺動する途中で、制限ピン86が制限ロッド87の上面に当接して、揺動が制限される。 The pair of restriction pins 86 are provided at positions close to the core member 51 near the lower edges of the left and right mounting plates 56, instead of the restriction positions 58 of the third embodiment. The restriction rod 87 is provided across the rear surfaces of the left and right mounting plates 56 and is disposed below the restriction pin 86. While the side support portion 5B and the core member 51 are swinging in the direction M1 toward each other, the restriction pin 86 comes into contact with the upper surface of the restriction rod 87, and the swinging is restricted.

制限ロッド87の左右方向の中央部分は、ロッド位置調整部88によって支持され、上下方向にスライド移動可能となっている。ロッド位置調整部88は、ベースプレート33を貫通して設けられる。ロッド位置調整部88は、制限ロッド87の上下方向の位置を調整する機能を有する。介助者等は、ベースプレート33の前側からロッド位置調整部88を操作して、矢印M2に示されるように、制限ロッド87の上下方向の位置を調整することができる。 The center portion of the restriction rod 87 in the left-right direction is supported by a rod position adjustment portion 88 and is slidable in the vertical direction. The rod position adjustment section 88 is provided to penetrate the base plate 33. The rod position adjustment section 88 has a function of adjusting the position of the restriction rod 87 in the vertical direction. An assistant or the like can adjust the vertical position of the restriction rod 87 by operating the rod position adjustment section 88 from the front side of the base plate 33, as shown by arrow M2.

具体的に、被介助者が小柄である場合に、介助者等は、制限ロッド87の位置を低めに調整して、一対の脇支持部5Bの最接近距離を小さめに設定する。一方、被介助者が大柄である場合に、介助者等は、制限ロッド87の位置を高めに調整して、一対の脇支持部5Bの最接近距離を大きめに設定する。これによれば、第3実施形態と同様、一対の脇支持部5Bの最接近距離を被介助者の体格に適合させることができ、いつでも圧迫力を軽減する効果が発生する。 Specifically, when the person to be assisted is small in stature, the caregiver or the like adjusts the position of the restriction rod 87 to be lower, and sets the closest distance between the pair of armpit support portions 5B to be smaller. On the other hand, when the person to be cared for is large in stature, the caregiver or the like adjusts the position of the restriction rod 87 to be higher, and sets the closest distance between the pair of armpit support parts 5B to be larger. According to this, as in the third embodiment, the closest distance between the pair of armpit support parts 5B can be adapted to the physique of the person being assisted, and the effect of reducing the compressive force can be produced at any time.

6.脇支持アシスト機構9
次に、第1~第4実施形態の介助装置1に追加することができる脇支持アシスト機構9について、図11を参考にして説明する。脇支持アシスト機構9は、ベースプレート33の前面または後面に設けられる。図11に示されるように、脇支持アシスト機構9は、一対の脇支持部5B(5、5A)に作用する下向きの荷重W2に応じて、一対の脇支持部5B(5、5A)を互いに接近する方向M3に揺動または移動させる。これによれば、被介助者が一対の脇支持部5B(5、5A)にもたれかかったときに、一対の脇支持部5B(5、5A)は、相互に接近して確実に被介助者を支持する。
6. Side support assist mechanism 9
Next, the armpit support assist mechanism 9 that can be added to the assistance device 1 of the first to fourth embodiments will be described with reference to FIG. 11. The armpit support assist mechanism 9 is provided on the front or rear surface of the base plate 33. As shown in FIG. 11, the armpit support assist mechanism 9 mutually supports the pair of armpit supports 5B (5, 5A) in response to the downward load W2 acting on the pair of armpit supports 5B (5, 5A). Swing or move in the approaching direction M3. According to this, when the person to be assisted leans on the pair of armpit supports 5B (5, 5A), the pair of armpit supports 5B (5, 5A) approach each other to ensure that the assisted person support.

本願出願人は、脇支持アシスト機構9に適用可能な機構の一例を、国際公開2015/011838号に保持位置調整機構と名付けて開示している。また、第3実施形態の介助装置1に脇支持アシスト機構9を追加した態様では、被介助者の姿勢の左右のアンバランスを抑制する作用がある。詳述すると、被介助者が一方の脇支持部5Bにもたれかかったときに、その脇支持部5Bは揺動するが、制限ベルト81が張ってテンションが生じる。これにより、一方の脇支持部5Bの揺動範囲が制限されて、他方の脇支持部5Bとのアンバランスが抑制される。結果として、介助装置1は、被介助者の姿勢の左右のアンバランスを抑制することができる。 The applicant of this application has disclosed an example of a mechanism applicable to the armpit support assist mechanism 9 in International Publication No. 2015/011838, which is named a holding position adjustment mechanism. Further, in the aspect in which the armpit support assist mechanism 9 is added to the assistance device 1 of the third embodiment, there is an effect of suppressing the left-right imbalance in the posture of the person being assisted. To explain in detail, when the person being assisted leans on one of the armpit support sections 5B, the armpit support section 5B swings, but the restriction belt 81 is stretched and tension is generated. Thereby, the swing range of one armpit support part 5B is restricted, and imbalance with the other armpit support part 5B is suppressed. As a result, the assistance device 1 can suppress the left-right imbalance in the posture of the person being assisted.

7.実施形態の変形および応用
なお、第1実施形態と第2実施形態を組み合わせて実施することができる。また、第1および第2実施形態は、第3または第4実施形態と組み合わせることができる。換言すると、第1および第2実施形態の介助装置1は、第3または第4実施形態に記載された制限機構および調整部を備えてもよい。その他にも、第1~第4実施形態は、様々な変形や応用が可能である。
7. Modifications and Applications of Embodiments Note that the first embodiment and the second embodiment can be implemented in combination. Moreover, the first and second embodiments can be combined with the third or fourth embodiment. In other words, the assistance device 1 of the first and second embodiments may include the restriction mechanism and adjustment section described in the third or fourth embodiment. In addition, the first to fourth embodiments can be modified and applied in various ways.

1:介助装置 2:基台 20:フットプレート 21:パイプフレーム 22:組み付けフレーム 3:アーム部材 33:ベースプレート 34:ハンドル 4:上体支持部 5、5A、5B:脇支持部 51:芯部材 52:外周部材 53:通常カバー部材 54:摩擦低減カバー部材 55:中間部材 56:取り付け板 57:所定位置 58:制限位置 6:支持部材 7:アクチュエータ 81:制限ベルト 82:定点位置 83:調整バックル 86:制限ピン 87:制限ロッド 88:ロッド位置調整部 9:脇支持アシスト機構 1: Assistance device 2: Base 20: Foot plate 21: Pipe frame 22: Assembly frame 3: Arm member 33: Base plate 34: Handle 4: Upper body support portion 5, 5A, 5B: Side support portion 51: Core member 52 : Peripheral member 53: Normal cover member 54: Friction reduction cover member 55: Intermediate member 56: Mounting plate 57: Predetermined position 58: Restriction position 6: Support member 7: Actuator 81: Restriction belt 82: Fixed point position 83: Adjustment buckle 86 : Limiting pin 87: Limiting rod 88: Rod position adjustment section 9: Side support assist mechanism

Claims (10)

基台と、
被介助者の左右の脇をそれぞれ支持する一対の脇支持部と、
前記基台を基準として、一対の前記脇支持部を少なくとも上下方向に移動させる駆動部と、を備える介助装置であって、
前記脇支持部は、前記被介助者の少なくとも前記脇および上腕部に接触する通常表面部と、前記通常表面部よりも小さな摩擦係数を有して前記被介助者の側腹部に接触する摩擦低減表面部と、を有する、
介助装置。
The base and
a pair of armpit support parts that respectively support the left and right armpits of the person being assisted;
An assistance device comprising: a drive unit that moves the pair of side support parts at least in the vertical direction with respect to the base;
The armpit support part has a normal surface part that contacts at least the armpit and upper arm of the care recipient, and a friction reducing part that has a smaller friction coefficient than the normal surface part and contacts the side abdomen of the care recipient. having a surface portion;
Assistive devices.
前記脇支持部は、
芯部材と、
前記芯部材を覆いつつ弾性変形が可能な外周部材と、
前記外周部材を覆い、前記通常表面部を構成する通常カバー部材と、
前記外周部材を覆い、前記摩擦低減表面部を構成する摩擦低減カバー部材と、
を有する、請求項1に記載の介助装置。
The side support part is
A core member,
an outer peripheral member capable of elastic deformation while covering the core member;
a normal cover member that covers the outer peripheral member and constitutes the normal surface portion;
a friction-reducing cover member that covers the outer peripheral member and constitutes the friction-reducing surface portion;
The assistance device according to claim 1, comprising:
前記摩擦低減カバー部材は、前記通常カバー部材の外面に重ねて配置される、請求項2に記載の介助装置。 The assisting device according to claim 2, wherein the friction-reducing cover member is arranged to overlap an outer surface of the normal cover member. 前記通常カバー部材は、その表面が相対的に粗い合成皮革であり、前記摩擦低減カバー部材は、その表面が相対的に滑らかな合成樹脂製シートである、請求項2または3に記載の介助装置。 The assistance device according to claim 2 or 3, wherein the normal cover member is synthetic leather having a relatively rough surface, and the friction reducing cover member is a synthetic resin sheet having a relatively smooth surface. . 基台と、
被介助者の左右の脇をそれぞれ支持する一対の脇支持部と、
前記基台を基準として、一対の前記脇支持部を少なくとも上下方向に移動させる駆動部と、を備える介助装置であって、
前記脇支持部は、
芯部材と、
前記芯部材を覆いつつ弾性変形が可能であり、その中心よりも下方に前記芯部材が配置される外周部材と、を有し、
前記外周部材は、前記芯部材を覆う筒形状に形成され、上側の厚みが下側の厚みより大きく、かつ、
前記外周部材は、前記芯部材を覆う第1部材と、前記第1部材よりも軟質な材質で形成されるとともに、前記第1部材の上側を覆い、前記第1部材の下側を覆わない形状に形成された第2部材と、を備える、
介助装置。
The base and
a pair of armpit support parts that respectively support the left and right armpits of the person being assisted;
An assistance device comprising: a drive unit that moves the pair of side support parts at least in the vertical direction with respect to the base;
The side support part is
A core member,
an outer peripheral member that is capable of elastic deformation while covering the core member, and in which the core member is disposed below the center;
The outer circumferential member is formed in a cylindrical shape that covers the core member, and has an upper thickness greater than a lower thickness, and
The outer peripheral member includes a first member that covers the core member and a material that is softer than the first member, and has a shape that covers the upper side of the first member but does not cover the lower side of the first member. a second member formed in;
Assistive devices.
基台と、
被介助者の左右の脇をそれぞれ支持するとともに、互いに接近または離間する方向に揺動可能または移動可能な一対の脇支持部と、
前記基台を基準として、一対の前記脇支持部を少なくとも上下方向に移動させる駆動部と、
一対の前記脇支持部が互いに接近する方向の揺動範囲または移動範囲を制限する制限機構と、を備え、
前記脇支持部の所定位置が揺動可能に支持されており、
前記制限機構は、前記脇支持部の前記所定位置以外の制限位置と、前記脇支持部と一体的に移動する部材に設けられた定点位置と、を結ぶ制限ベルトである、
介助装置。
The base and
a pair of armpit support parts that respectively support the left and right armpits of the care recipient and are swingable or movable in directions toward or away from each other;
a drive unit that moves the pair of side support parts at least in the vertical direction with respect to the base;
a limiting mechanism that limits the swing range or movement range in the direction in which the pair of side support parts approach each other;
A predetermined position of the side support part is swingably supported,
The restriction mechanism is a restriction belt that connects a restriction position other than the predetermined position of the armpit support and a fixed point position provided on a member that moves integrally with the armpit support.
Assistive devices.
前記制限ベルトは、一方の前記脇支持部の前記制限位置と、他方の前記脇支持部の前記制限位置とを結びつつ、前記定点位置で摺動可能に折り返される、請求項に記載の介助装置。 The assistance according to claim 6 , wherein the restriction belt is slidably folded back at the fixed point position, connecting the restriction position of one of the armpit support parts and the restriction position of the other armpit support part. Device. 前記被介助者の体格に応じて、前記制限ベルトの長さを調整する調整バックルをさらに備える、請求項またはに記載の介助装置。 The assistance device according to claim 6 or 7 , further comprising an adjustment buckle that adjusts the length of the restriction belt according to the physique of the person to be assisted. 基台と、
被介助者の左右の脇をそれぞれ支持するとともに、互いに接近または離間する方向に揺動可能または移動可能な一対の脇支持部と、
前記基台を基準として、一対の前記脇支持部を少なくとも上下方向に移動させる駆動部と、
一対の前記脇支持部が互いに接近する方向の揺動範囲または移動範囲を制限する制限機構と、
前記被介助者の体格に応じて、前記制限機構が制限する前記揺動範囲または前記移動範囲を調整する調整部と、
を備える介助装置。
The base and
a pair of armpit support parts that respectively support the left and right armpits of the care recipient and are swingable or movable in directions toward or away from each other;
a drive unit that moves the pair of side support parts at least in the vertical direction with respect to the base;
a limiting mechanism that limits a swing range or movement range in a direction in which the pair of side support parts approach each other;
an adjustment unit that adjusts the swing range or the movement range limited by the restriction mechanism according to the physique of the person to be assisted;
An assistance device equipped with.
一対の前記脇支持部に作用する下向きの荷重に応じて、一対の前記脇支持部を互いに接近する方向に揺動または移動させる脇支持アシスト機構をさらに備える、請求項1~のいずれか一項に記載の介助装置。 Any one of claims 1 to 9 , further comprising an armpit support assist mechanism that swings or moves the pair of armpit supports in a direction toward each other in response to a downward load acting on the pair of armpit supports. Assistive devices as described in Section.
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